Castle Rock Arabians
1350 Castle Rock Road
Walnut Creek, CA 94598
Phone 925 937-7661 Fax 925 943-7431 htrails@astound.net
www.castlerockarabians.com
Birthday Party Riding Release Form
As a rider of a horse stabled at Castle Rock Arabians, home of Nancy DuPont, I agree that Nancy
DuPont, her employees, agents and affiliates shall not be liable to any person or firm, including
owner, for damages of any kind, including but not limited to damages to Owner from the loss of,
injury to or death of a Horse, which arise out of or in connection with the boarding or training of
the Horse, whether or not such damages are caused by fire, theft, the running away, behavior or
act of the Horse, or any other cause and whether or not caused solely or partially by the
negligence of Nancy DuPont, her employees, agents or affiliates, whether the Horse be on the
premises or not. Owner shall indemnify, defend and hold harmless Nancy DuPont, her
employees, agents and affiliates from all claims, demands, causes of action and liabilities which
may be asserted for such damages referred to in the preceding sentence.
I further understand that riding a horse in the arena or on the trail can be hazardous. That trail
riding involves being in remote areas for several hours and away from communications,
transportation, and medical facilities; that these areas have natural and man-made hazards. That
horses can be excitable, difficult to control and unpredictable, and that accidents can
happen to anyone at any time causing injury or even death. I agree to take full
responsibility for myself and the animal I am riding. I am fully covered by my own medical
insurance and I will not sue Nancy DuPont, or any affiliates for any losses that I may incur. I will
hold Nancy DuPont and affiliates including Leigha Perry, Brittany Gordon, Rachel and Claire
Thompson, Jennifer Ding and any other assistants blameless for any accident, injury, or loss that
might occur due to my participation in any riding instruction, camp or trail ride, and free from all
liability for such injury or loss.
I understand that a significant percentage of injuries that occur falling from a horse are to the
head. I have been advised to wear a protective helmet while riding Castle Rock horses. Junior
riders MUST wear helmets.
Signatures below constitutes acceptance of the above terms and conditions.
Name(Print)_________________________________________________________________
Child’s Name________________________________________________________________
Address_____________________________________________________________________
City____________________________________________________State CA
Phone (
__Zip____________
)__________________________________________________________________
email_______________________________________________________________________
My Insurance Carrier is__________________________________________________________
Signature_____________________________________________________
DATE:
___________________________________________(Must be filled in)
Printed 2.25.2011